DYNAMIC ACCOUNTING AND FINANCIAL PROFESSIONAL

Versatile, results-driven professional with diversified experience in the healthcare industry including leadership roles in accounting, finance, central scheduling, claims adjudication, electronic claim file submission, provider relations, payer relations, payer and network contracting and network operations.

Proven professional quick to learn new processes, solve problems and adapt to changes with the drive and skill set to excel in a leadership role.

CORE COMPETENCIES

Financial Reporting, Variance Analysis, Team Leadership, Project Management, Budgeting,

Strategic Planning, Financial Analysis, GAAP, Microsoft Office Suite (Excel, Word, Access, Outlook), System Implementations, Crystal Reports, Great Plains, QuickBooks,

Innovative, Multi-tasking, Self-Motivated, Detail-Oriented, Accurate, Positive Attitude

EXPERIENCE

Select Medical 2016- Aug 2018

Operating 99 long term acute care hospitals, 24 rehabilitation hospitals, 1,617 outpatient rehabilitation clinics, and occupational health centers in 37 states. Purchased Physiotherapy Associates March 2016.

Accounting Operations Manager

Prepared month end close journal entries and participated in monthly financial reviews to ensure compliance with GAAP

Reconciled bank, general ledger and system transactions

Supported quarterly and annual external audits including schedule preparation and fulfilling sample selection requests

Established and implemented appropriate internal controls and maintained up-to-date procedures manual for all processes and staff on a continuous basis

Created annual departmental budget and budget vs. actual analysis

Automated the reconciliation of the checks deposited in the bank to the amounts posted in the system ensuring payments are posted accurately and completely utilizing Microsoft Access Database and SQL reporting tool

Reduced payment posting backlog of $2M by training the central billing office team to post payer payments including implementing key productivity and quality posting metrics

Designed, documented and implemented the process for the daily processing worker’s compensation claims enabling Physiotherapy to implement a unique process for non-contracted worker’s compensation claims to eliminate discounts applied by specialty networks

Recovered over $200,000 in underpayments from payers by comparing payer reimbursement to each state’s fee schedule, filing appeals in accordance with each state’s requirements for the underpayments and persistently following-up with payers

Reduced labor costs by $100,000 annually by designing and implementing an automated payment file to import into the billing systems Reported results to management creating ad-hoc reports using SQL reporting tool (Plexis Alerts)

Managed a staff of 5 associates

Physiotherapy Associates 2009 -2016

Operating 800 outpatient rehabilitation clinics and occupational health centers in 33 states. Merged with Benchmark Medical January 2009.

Accounting Operations and Network Manager

Prepared detailed forecasts and business plans including financial modeling on current and potential contracts

Analyzed trends and cost drivers and identified risks and opportunities

Led the selection and implementation team for two claims adjudication software systems (Plexis PCM and Linnaeus TheSys)

Designed, documented and implemented a Central Scheduling database utilizing Microsoft Access to track patient appointments for over 5,500 patients at 1,700 locations nationwide

Managed the PhysioLink network of providers regarding network participation status and claims processing procedures and claims

Located and contracted with 300 sub-contracted providers for customers

Managed a staff of 5 associates

Benchmark Medical Holdings, Inc. 2003-2009

Operating 500 outpatient rehabilitation clinics and occupational health centers in 31 states. Purchased Matrix Rehabilitation January 2003.

Claims Accounting Manager

Analyzed and identified unpaid claims for negotiations with payer resulting in a settlement agreement of over $600,000 producing additional revenue for Physiotherapy and improved relations with providers

Supervised staff of up to 15 including the claims accounting, claims examining and customer service departments

Prepared budgets and financial projections including variance analysis comparing actual vs budget

Participated in strategic planning and contract profitability analysis including three capitated contracts

Communicated effectively with providers and payers on payment issues resulting in a 50% reduction in claims appeals filed

Matrix Rehabilitation, Inc. 1997-2003

Operating 150 outpatient rehabilitation clinics and occupational health centers in 20 states.

Accounting Manager

Prepared monthly management reporting and analysis, accounts receivable aging and contractual reserve analysis

Coordinated annual budget process

Coordinated automated interfaces to and from parent company (Golden Living)

Developed and implemented financial reporting package distributed monthly to clinics

Coordinated and implemented upgrades to the General Ledger and Accounts Payable systems

Supervised Accounting, Accounts Receivable and Accounts Payable departments with a staff of up to 10

EDUCATION

Plymouth State University Plymouth, NH

Bachelor of Science in Business Administration, Accounting concentration, cum laude

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